New Patient Forms

If you wish, you can download the New Patient Form prior to your first visit. 
It can be filled out as a Word document, printed, and brought with you. 
For security, your information is not stored on our server. 


New Patient Form
You may also download a Release Form to have your dental records sent to Dr. DeRegis. 
Simply fill out and send to your previous dentist.
Release Form
Monday - Thursday: 8:00 - 5:00

Dr. Robert DeRegis, DMD

183 Bedford St.
Lexington, MA 02420
(781) 862-7474

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